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Individual

JOSEPH MAGNUSSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CTRS

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
4349 W SERVICEBERRY DR, FAYETTEVILLE, AR 72704-7615
(910) 526-5339

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83231
NC

Other

Enumeration date
08/12/2020
Last updated
01/12/2023
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